Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,686.01 / $2,747.00 / $7,920.26	Facility		$1,686.01	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $848.78 / $1,097.70 / $4,436.13	Professional		$848.78	$1,097.70	$4,436.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,169.33 / $1,818.06 / $2,474.17	Professional		$1,169.33	$1,818.06	$2,474.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,350.73 / $1,926.43 / $2,168.96	Professional		$1,350.73	$1,926.43	$2,168.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,097.70 / $1,711.86 / $2,360.06	Facility		$1,097.70	$1,711.86	$2,360.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,281.14 / $1,507.22 / $2,686.35	Professional		$1,281.14	$1,507.22	$2,686.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,200.38 / $1,596.89 / $1,685.72	Facility		$1,200.38	$1,596.89	$1,685.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,097.70 / $1,843.34 / $2,280.67	Facility		$1,097.70	$1,843.34	$2,280.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,488.97 / $1,950.10 / $2,471.83	Professional		$1,488.97	$1,950.10	$2,471.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,393.72 / $4,393.72 / $4,393.72	Facility		$4,393.72	$4,393.72	$4,393.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,528.35 / $2,064.38 / $2,639.28	Professional		$1,528.35	$2,064.38	$2,639.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,264.11 / $1,983.70 / $2,643.80	Professional		$1,264.11	$1,983.70	$2,643.80